Individual
DR. BRAXTON TRISTAN MICHAEL MEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2000 CRATER LAKE HWY, T-0613, MEDFORD, OR 97504-4161
(541) 779-5110
Mailing address
2000 CRATER LAKE HWY, T-0613, MEDFORD, OR 97504-4161
(541) 779-5110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012677
OR
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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